Alice Cancer Care Management LLC

Organization Active NPI Hematology & Oncology Physician · Alice, TX

NPI 1003327362 · NPPES record last updated Oct 17, 2017

Key facts

NPI
1003327362
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
J6958 (TX)
Legal business name
ALICE CANCER CARE MANAGEMENT LLC
Practice address
2520 E Main St Ste 200
Alice, TX 78332-4188
Phone
(361) 453-4117
Fax
(361) 453-4218
NPI assigned
Oct 13, 2017
Organization subpart
No

Authorized official

Name
Mohamad A Ghraowi, MD
Title
Owner
Phone
(361) 453-4117

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0003X J6958 TX Yes

Addresses

Primary practice location

2520 E Main St Ste 200
Alice, TX 78332-4188

Mailing address

2520 E Main St Ste 200
Alice, TX 78332-4188
Phone (361) 453-4117

Other providers in Alice, TX

All providers in Alice, TX · Hematology & Oncology Physician in Texas

Sources for this page

Verify at the official NPI Registry.